Individual
DIXIE E. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
2302 N 75TH AVE, PHOENIX, AZ 85035-1216
(623) 849-7500
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 942-4462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
375677
AZ
Other
Enumeration date
08/01/2007
Last updated
05/14/2008
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